Management of epithelial cancer of the ovary, fallopian tube, primary peritoneum. Long text of the joint French clinical practice guidelines issued by FRANCOGYN, CNGOF, SFOG, GINECO-ARCAGY, endorsed by INCa. (Part 2: systemic, intraperitoneal treatment, elderly patients, fertility preservation, follow-up)

V. Lavoue, C. Huchon, C. Akladios, P. Alfonsi, N. Bakrin, M. Ballester, S. Bendifallah, P. A. Bolze, F. Bonnet, C. Bourgin, N. Chabbert-Buffet, P. Collinet, B. Courbiere, T. De la motte rouge, M. Devouassoux-Shisheboran, C. Falandry, G. Ferron, L. Fournier, L. Gladieff, F. GolfierS. Gouy, F. Guyon, E. Lambaudie, A. Leary, F. Lecuru, M. A. Lefrere-Belda, E. Leblanc, A. Lemoine, F. Narducci, L. Ouldamer, P. Pautier, F. Planchamp, N. Pouget, I. Ray-Coquard, C. Rousset-Jablonski, C. Senechal-Davin, C. Touboul, I. Thomassin-Naggara, C. Uzan, B. You, E. Daraï

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    Résumé

    Adjuvant chemotherapy by carboplatin and paclitaxel is recommended for all high-grade ovarian and tubal cancers (FIGO stages I-IIA)(grade A). After primary surgery is complete, 6 cycles of intravenous chemotherapy (grade A)are recommended, or a discussion with the patient about intraperitoneal chemotherapy, according to her risk-benefit ratio. After complete interval surgery for FIGO stage III, hyperthermic intraperitoneal chemotherapy (HIPEC)can be proposed, in accordance with the modalities of the OV-HIPEC trial (grade B). In cases of postoperative tumor residue or in FIGO stage IV tumors, chemotherapy associated with bevacizumab is recommended (grade A).

    langue originaleAnglais
    Pages (de - à)379-386
    Nombre de pages8
    journalJournal of Gynecology Obstetrics and Human Reproduction
    Volume48
    Numéro de publication6
    Les DOIs
    étatPublié - 1 juin 2019

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